Travis Jay Freeze is a Pharmacist in Poteau, Oklahoma. Travis Jay Freeze practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Travis Jay Freeze is 1396897625. The last update date is 2007-07-08.
Travis Jay Freeze's current location address is 22599 Blue Bird Ln, Poteau, Oklahoma. You can contact this provider via phone number 9185677000. The mailing address for Travis Jay Freeze is 22599 Blue Bird Ln, Poteau, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Travis Jay Freeze |
|---|---|
| Address | 22599 Blue Bird Ln, Poteau, Oklahoma |
| Phone Number | 9185677000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHARM D |
NPI Number Detail
| NPI Number | 1396897625 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 22599 Blue Bird Ln |
|---|---|
| City | Poteau |
| State | Oklahoma (OK) |
| Post Code | 749538647 |
| Phone Number | 9185677000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 13609 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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What is the unique 10-digit identification code issued to Travis Jay Freeze by the Centers for Medicare & Medicaid Services?
The Travis Jay Freeze has been assigned the NPI (National Provider Identifier) 1396897625 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Travis Jay Freeze's facilities are situated?
The facilities of Travis Jay Freeze are physically located at the following address: 22599 Blue Bird Ln, Poteau, OK, 749538647.
What is Travis Jay Freeze's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Travis Jay Freeze is Pharmacist, and the taxonomy code that classifies this field of practice is 183500000X.
On what date did Travis Jay Freeze receive its 1396897625 assignment from the Centers for Medicare & Medicaid Services?
The Travis Jay Freeze was assigned its 1396897625 on 2007-01-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Travis Jay Freeze most recently updated or revised?
The information pertaining to Travis Jay Freeze, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY